• Medicare Advantage Quality…

    Highmark Health (Buffalo, NY)
    …the Organization are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess… more
    Highmark Health (11/06/25)
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  • Medicare Bid Optimization Principal…

    Health Care Service Corporation (Chicago, IL)
    …invest in your professional development. **Job Summary** The Medicare Advantage Bid Optimization Principal Divisional Strategy Consultant will support MA ... This position is responsible for assisting with leading the team with all Medicare Advantage short-term and multi-year planning, assisting the leadership team on… more
    Health Care Service Corporation (11/23/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    … Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00 ... Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location:...Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Prin Div Strategy Consultant

    Health Care Service Corporation (Chicago, IL)
    …**Preferred Job Qualifications:** + Health insurance or healthcare industry experience supporting Medicare Advantage + Knowledge of Medicare Advantage ... the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network… more
    Health Care Service Corporation (10/08/25)
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  • Accounts Receivable Consultant

    Cassia (Edina, MN)
    …for Medicaid, Medicare A&B, Hospice, MSHO products, LTC insurance, coinsurance, Medicare Advantage & various other insurance payers. + Complete proper ... Cassia, a nonprofit, senior living organization, is hiring an Accounts Receivable Consultant to join our growing team! Based at our Edina, MN home office, you will… more
    Cassia (11/13/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …experience will be considered. * Experience in medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) ... The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll...certification * In-depth knowledge of ACA & Medicare Advantage risk adjustment methodology, coding guidelines… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Insurance Strategy Consultant

    Humana (Sacramento, CA)
    …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
    Humana (11/11/25)
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  • Market CMO, Centerwell Senior Primary Care…

    CenterWell (Phoenix, AZ)
    …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value… more
    CenterWell (10/24/25)
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  • Primary Care Physician Lead

    CenterWell (Atlanta, GA)
    …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value… more
    CenterWell (10/22/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Los Angeles, CA)
    Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
    Deloitte (11/21/25)
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